Brady Pregerson, MD

: A man in his mid-20’s comes to the ED for palpitations and non-pleuritic, non-exertional, non-radiating chest tightness on and off for days lasting hours at a time. He also feels anxious. He denies syncope, palpitations, SOB, fever, cough, or other complaints. He states when he goes hiking he feels fine, but when he is trying to fall asleep he notices the palpitations and tightness the most. He denies any tobacco or drug use.

: Vital signs are normal as is his physical exam.

Computer Read: Junctional rhythm, ST-elevation consider early repol, pericarditis or injury

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Our latest case report from Brady Pregerson, MD, features a man in his mid-20s presenting to the emergency department for palpitations and non-radiating chest tightness. Can you determine the correct diagnosis?

Cardiology Case Report: Palpitations and Chest Tightness

A man in his 20’s comes to the ED for body aches including chest discomfort and feeling light-headed. Symptoms started about 3 hours after his second COVID vaccine and are non-progressive at this point. He was told he needs a doctor’s note to return to work. He denies syncope, palpitations, SOB, fever, cough or other complaints.

Vital signs are normal. He is not orthostatic. Exam is normal.

Computer Read: NSR at 78, TWA consider inferior/anterolateral ischemia.

Our latest cardiology case report from Brady Pregerson, MD, features a man in his 20s presenting to the emergency department complaining of body aches, chest discomfort, and light-headedness. Can you determine the correct diagnosis?

Cardiology Case Report: Near Syncope After a Jab

: A man in his late 50’s presents to the emergency department for syncope. He has had both generalized weakness and loss of appetite that has been gradually worsening for a few weeks. He denies any injury or any palpitations, chest pain, SOB, fever, cough, or other complaints.

: Vital signs are normal except for a pulse in the low to mid 40’s.

Computer Read: junctional rhythm rate 44, borderline voltage, NSTWA

Our latest case report from Dr. Brady Pregerson features a man in his late 50s presenting to the ED for syncope. Check out the EKG and see if you can determine the correct diagnosis. 

Cardiology Case Report: Syncope and Bradycardia

: A man in his late 50’s presents to the emergency department with palpitations, which he describes as a rapid but regular heart rate. His fit bit has registered it up to 160 bpm at rest, whereas normally he is at about 80. He denies syncope, feeling light-headed, chest discomfort, dyspnea, fever, cough, any pain, melena, or other complaints. He also denies use of alcohol or recreational drugs.

: Vital signs are normal except for a pulse of 142. BP is 139/87. Otherwise, vitals and physical exam are normal including no thyroid mass, tremor, pupillary abnormalities, or other findings.

Computer Read: sinus tachycardia, inferior MI, probably old.

Check out the latest case report from Dr. Brady Pregerson. This case report features a man in his 50s presenting to the ED with palpitations. Can you determine the correct diagnosis?

Brady Pregerson, MD

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Cardiology Case Report: Palpitations and Chest Tightness

Cardiology Case Report: Near Syncope After a Jab

Cardiology Case Report: Syncope and Bradycardia

Cardiology Case Report: Tachycardia and Bradycardia